| Dr Eric Pittman, MD | |
|
6644 E Baywood Ave, Banner Baywood Medical Center, Mesa, AZ 85206 | |
| (480) 321-3900 | |
| (480) 321-3840 |
| Full Name | Dr Eric Pittman |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 6644 E Baywood Ave, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063472249 | NPI | - | NPPES |
| AZ0740040 | Other | AZ | BCBS |
| 74591104 | Medicaid | AZ | |
| P00059189 | Other | AZ | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30757 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 30757 (Arizona) | Primary |
| Entity Name | Banner Cancer Center Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Banner Hospital Based Physicians Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Pittman, MD 6644 E Baywood Ave, Banner Baywood Medical Center, Mesa, AZ 85206 Ph: (480) 321-3900 | Dr Eric Pittman, MD 6644 E Baywood Ave, Banner Baywood Medical Center, Mesa, AZ 85206 Ph: (480) 321-3900 |
Dr. Katelyn Rheault, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206 Phone: 602-839-3644 |
Donald Joseph Velarde, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4711 E Falcon Dr, Suite 355, Mesa, AZ 85215 Phone: 480-357-2048 Fax: 480-214-5147 |
Dr. Lana Beth Rogoff, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-3000 |
Liza Anwar, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209 Phone: 480-358-6100 |
Stephen Alan Cushner, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4711 E Falcon Dr, Suite 202, Mesa, AZ 85215 Phone: 480-357-2048 |